NONAPPROPRIATED FUND FEDERAL EMPLOYMENT APPLICATION

Transcription

1 NONAPPROPRIATED FUND FEDERAL EMPLOYMENT APPLICATION THIS APPLICATION MUST BE COMPLETED IN INK. Important Applicant Information!! BEFORE COMPLETING THIS FORM, READ THE PRIVACY ACT STATEMENT LOCATED ON PAGE (6) You may apply for no more than four (4) positions a week, using a SEPARATE application for EACH position. You must meet or exceed all requirements for each position you apply for to be considered. If hired, you must wait 60 days before accepting a different position within the agency unless you notify your current supervisor and agree on an earlier transfer/release date in writing. Leaving a job without notice is subject to removal. We are unable to copy applications. It is recommended you complete one good original, leave the position applying for blank, make copies, enter positions/locations applied for, and retain the original. Position applying for: Location (see definition below): Announcement Number: CT New London, Groton CT DN Dam Neck, Virginia Beach JEB Little Creek/Fort Story, Virginia Beach MECH Mechanicsburg, PA MM Midway Manor, Virginia Beach NJ Earle, Colts Neck NJ DEFINITION OF LOCATIONS NW NSA Northwest Annex, Chesapeake OC NAS Oceana, Virginia Beach PHL Philadelphia, PA PN NWS Yorktown/Cheatham Annex PNSY Portsmouth Naval Shipyard, Kittery RI Newport, RI SG Sugar Grove, Sugar Grove WV SP Naval Station/NSA, Norfolk SY Naval Shipyard, Portsmouth WI Wallops Island, VA Are you at least 18 years of age? No, give your date of Birth: Full Name (Last, First, Middle) Other names used (maiden, previous married, etc) Mailing Address (Include Apartment Number, if any) City, State, and ZIP Code Address Home Phone Alternate Phone (Check one) Have you EVER been employed in any APF (Civil Service) or NAF (MWR, VQ, NEX) position?, indicate ALL APF and NAF employment under work history No Cell Work Place of Birth (City, State OR Country) U.S. Citizen Registered Alien Registration No: SELECTIVE SERVICE If you are a male and at least 18 years of age, you must provide your Selective Service registration number. Visit: to locate, obtain or register in Selective Service. MILITARY SERVICE Other (please note below) Selective Service Number Have you EVER served in the United States Military? No, complete ALL items below. Dates of Military Service Branch of Service Highest Rank Held Type of Discharge Active Duty/Retired From: To: Reserves From: To: ALL prior military must attach a copy of page 4 of the DD214 showing the reason for discharge and re-entry codes. This information may be used at a later date to determine creditable service. Your DD-214 is now online at: CURRENT ACTIVE DUTY: Please provide all information under work experience section, including current rank, duty station, and work phone. You must attach a copy of your approved SPECIAL REQUEST AUTHORIZATION (NAVPERS 1336/3) form containing the command POC and phone number. Military off-duty, may only work 0 34 hours per week. If you are on TERMINAL LEAVE, you must attach a copy of your approved Terminal Leave document. 1

2 Applicant REFERRAL SOURCE Walk-in Fleet and Family Services Discover MWR Website (discovermwr.com/nafhr) Newspaper SCHEDULING AVAILABILITY I am available to work: (Please mark ( x ) for all that apply) Weekends only Days only from: Evenings only from: Rotating Shift/Schedule All Shifts available I am available to begin work on: to to EMPLOYMENT CATEGORIES I will accept the following employment categories: Flexible No leave/benefits/holiday pay and may be continuing, temporary or seasonal. Hours of work may vary from 0-40 hours per week as needed. CNIC Website ( Relative/Friend: (Name): Job Fair Other (Source): Seasonal Work only hours per week hours per week 20 or less hours per week 0-40 hours per week Regular Full-time (35-40 hours per week) Includes leave/benefits/holiday pay. Note: Selecting Regular Full-time only will prohibit employment consideration for most available positions. EMPLOYMENT EXPECTATIONS Hours of work are scheduled to meet mission and customer needs. Schedules may be changed to meet either short- or long term needs. Management reserves the right to change schedules as soon as possible (ASAP), as needed to ensure proper coverage of a shift. Permanent scheduled changes will be provided 5 WORKING DAYS notice in advance if at all possible. Other than being scheduled for the required minimum hours for each employment category (0-40 Flexible; Regular Part-time; Regular Fulltime) THERE IS NO GUARANTEE OF SCHEDULED HOURS, TIME OR DAYS OF THE WEEK you may be scheduled for. Work locations are assigned to meet mission and customer needs. THERE IS NO GUARANTEE OF WORK LOCATION ASSIGNED. You may be assigned on a temporary or permanent basis to any work location needing services. Unless there are extenuating circumstances (i.e., different installation), work locations may be changed without notice. Employees are expected to report to work as scheduled, and on time. Therefore, it is expected that employees will have adequate transportation and/or childcare if needed to do so. Positions requiring valid licenses and/or certificates (drivers, CPR, First Aid, Lifeguard, Fitness Instructor, etc.), must be maintained at all times and must be renewed or recertified prior to the expiration. I have read and understand the above employment expectations. I am ABLE to meet all employment expectations listed above NOT ABLE to meet all employment expectations listed above and understand the inability to meet any of these expectations may result in non-selection or termination of employment after hire. Please use this space to explain/describe any specific problems or restrictions you have that will prevent you from meeting the above employment expectations. Applicant Signature (If application is ed, the will be used as an electronic signature): Date: 2

3 WORK EXPERIENCE Directions: Begin with your most CURRENT position and work backward at least 10 years. Include all periods of unemployment! Name and address of your MOST current/recent employer: Position Title (if APF or NAF, give pay plan and grade): 1 2 Name and address of your MOST previous employer: Position Title (if APF or NAF, give pay plan and grade): 3

4 WORK EXPERIENCE Directions: Begin with your most CURRENT position and work backward at least 10 years. Include all periods of unemployment! Name and address of your MOST current/recent employer: Position Title (if APF or NAF, give pay plan and grade): 3 4 Name and address of your MOST previous employer: Position Title (if APF or NAF, give pay plan and grade): If ADDITIONAL space is needed to list ALL employment, including periods of unemployment, please use an additional sheet of paper and include the same information requested above. 4

5 PROFESSIONAL REFERENCES Please list at least three people NOT RELATED to you, who are NOT listed as your supervisor on pg 2, who can furnish information regarding your qualifications and character in regard to the position(s) applied for. FULL NAME BUSINESS OR HOME ADDRESS TELEPHONE OCCUPATION EDUCATION (Attach additional sheet if more space is needed) Highest Education Level Completed: HS graduate/ged Some college Associates Degree Name and address of Schools Attended (Begin with last High School attended then list all Colleges/Universities/Trade Schools, etc.) Bachelor Program, no degree Bachelor Degree Total Credit Hours completed Degree Received (i.e., BA-Business Mgmt, BS- Recreation.) Masters Program, no degree Masters Degree Date Received (MM/YR) Major Course of Study (i.e., Business Technology, Business Administration, etc.) OTHER POSITION RELATED TRAINING (Attach additional sheet if more space is needed) COURSE TITLE NAME OF SCHOOL DATE COMPLETED ADDITIONAL SKILLS AND QUALIFICATIONS Computer Spreadsheet software used: Word Processing software used: Database software used: License Presentation software used: Driver s CDL Other (Teacher, Notary, etc) include expiration date if applicable Certificates CPR: First Aid: Other skills Heavy equipment, lawn care equipment, hand tools, office equipment, etc. : Class: Explanation: : Lifeguard: WSI: Name/Type of tool/equipment, etc.: Other: / Certificate / Other: / Certificate / 5

6 ATTENTION: READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THIS PAGE AND SIGNING Failure to answer a question, or providing incomplete or false information on any question is grounds for non-selection or termination for cause once employed. All statements are subject to investigation, including a check of your fingerprints, police records, and former employers. All information given will be considered in reviewing your application. ANSWER THE FOLLOWING QUESTIONS (1-5) BY PLACING CHECK MARK IN THE APPROPRIATE COLUMN. YES NO 1. Within the past five (5) years, have you been: a) fired from any job; b) resigned from any job after being informed that you would be fired: or c) left by mutual agreement due to unresolved issues? If YES, explain: 2. Are you delinquent on any Federal Debt? (Include Federal taxes, loans, overpayment of benefits or other debts to the US or City and State Government plus defaults on Federally guaranteed or insured loans such as student and home mortgage loans? If YES, explain: 3. Do you receive, or have you applied for retirement pay, pension, or other compensation based on military service, Federal (APF) civilian service, Nonappropriated fund (NAF) service or any other employment? If YES, explain: 4. Do any of your relatives, by blood or by marriage, work for the U.S. Government (APF) Civil Service or Nonappropriated Fund (NAF) or any branch of the military service (Navy, Air Force, MWR, VQ, etc)? If YES, provide the following information: Name Relationship Organization/Place of Work 5. During the past 7 years, for any offense against the law, have you ever forfeited collateral, been convicted, YES been fined, been imprisoned, been on probation (with or without judgment), been on parole, pled guilty or nolo contendere (no contest), been convicted by court martial or are you now under charges for any offense against the law? (The ONLY EXCEPTIONS to this are: 1) traffic fines under $150; and 2) any offense committed prior to age 18 that was adjudicated in a juvenile court or under a Youth Offender Law.) If YES, provide the following information: Charge/Offense City/State Court Action taken Date NO NOTE: CONVICTIONS ARE NOT A BASIS FOR NON-SELECTION!! ANY DATA PROVIDED WILL BE USED APPROPRIATELY AND ONLY AS RELEVANT TO THE POSITION(S) APPLIED FOR. DATA REQUIRED BY THE PRIVACY ACT OF 1974 The information requested of you on this form is authorized by Title 5, United States Code 301 and Title 42, United States Code 410. This information requested is to ascertain how well your education and work skills qualify you for a job, and for personnel actions after employment, such as promotion, transfer, and pay and leave entitlements, if any. Information on matters such as citizenship and military service are requested to ascertain whether or not you are affected by laws that define who may and may not be employed. If all the information requested is not supplied, it may not be possible to determine your eligibility and qualifications. Your application may not be considered if it is incomplete. Social Security numbers are requested to enable us to accurately identify you, and to properly attribute you with your actual earnings for purposes such as retirement, insurance, etc. Your SSN may also be used to request information about you from employers, schools, banks, and others who know you, but it will only be used as allowed by law. Information we have about you may also be given to other federal, state, and local agencies for checking on violations of law, or for other lawful purposes. APPLICANT CERTIFICATION Submission of this application, with or without signature, signifies agreement/consent with the conditions listed within and permission to check all information provided by the applicant. Applicant Signature (If application is ed, the will be used as an electronic signature): Date: By my signature, I CERTIFY that all statements made by me on this application are complete, true and accurate to the best of my knowledge and belief. I understand that my signature signifies my permission for previous employers, agencies, references and other legitimate sources to provide information to be used to determine my qualifications and suitability for employment. 6